Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.79 / $1,067.99 / $3,775.73	Facility		$590.79	$1,067.99	$3,775.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.79 / $1,078.73 / $1,352.13	Professional		$585.79	$1,078.73	$1,352.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,542.58 / $1,542.58 / $1,542.58	Facility		$1,542.58	$1,542.58	$1,542.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $1,867.50	Professional		$579.97	$579.97	$1,867.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.95 / $930.78 / $1,462.65	Facility		$849.95	$930.78	$1,462.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $849.63 / $1,329.68 / $2,193.96	Facility		$849.63	$1,329.68	$2,193.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $629.21	Professional		$579.97	$579.97	$629.21
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $869.96 / $1,169.92	Professional		$579.97	$869.96	$1,169.92